DR. KENNETH WAYNE ROBERTS D.D.S.
NPI 1124245006
Dentist - General Practice in South Lyon, MI

Active since April 20, 2007PECOS Enrolled
546 N LAFAYETTE ST, SOUTH LYON, MI 48178(248) 486-1730(248) 486-9544 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kenneth Wayne Roberts D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH WAYNE ROBERTS D.D.S. (NPI 1124245006) is an individual general practice provider in South Lyon, Michigan, licensed in Michigan (2901013871) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124245006
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENNETH WAYNE ROBERTSCredential: D.D.S.
Location Address546 N LAFAYETTE STSouth Lyon, MI 48178-2000
Mailing Address546 N Lafayette StSouth Lyon, MI 48178-2000 · (248) 486-1730 · Fax (248) 486-9544
Fax(248) 486-9544
Sole ProprietorYes
Enumeration DateApril 20, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1124245006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901013871
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

546 N LAFAYETTE ST, South Lyon, MI 48178

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kenneth Wayne Roberts D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48178 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
546 N LAFAYETTE ST
SOUTH LYON, MI 48178
Clinic/Center (Dental)
546 N LAFAYETTE ST
SOUTH LYON, MI 48178
Dentist
546 N LAFAYETTE ST
SOUTH LYON, MI 48178

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Roberts's NPI number?

The NPI number for Kenneth Roberts is 1124245006. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Kenneth Roberts located?

Kenneth Roberts practices at 546 N Lafayette St, South Lyon, MI 48178. The listed phone number is (248) 486-1730.

What is Kenneth Roberts's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Kenneth Roberts enrolled in Medicare?

Yes. Kenneth Roberts is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Roberts accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Kenneth Roberts as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Roberts was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.